Organization
PATRIOT PRODUCTS, INC.
Active
Other names
Patriot Products 1, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN D. GRUDZIEN (CEO)
(419) 704-3474
Entity
Organization
Contact information
Practice address
4064 TECHNOLOGY DRIVE, SUITE C, MAUMEE, OH 43537
(419) 865-9713
(419) 865-9721
Mailing address
4064 TECHNOLOGY DRIVE, SUITE C, MAUMEE, OH 43537
(419) 865-9713
(419) 865-9721
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HMEL 11039
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2129995
—
OH
05
—
4645193
—
MI
Enumeration date
02/23/2006
Last updated
08/19/2014
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